| 摘要: |
| 目的:观察浮针在梨状肌综合征的临床应用效果。方法:本研究回顾性分析2017年7月1日—2018年6月30日宁波市中医院80例急性发病的梨状肌综合征患者，其中40例对照组患者采用常规药物及物理治疗，40例观察组患者在上述基础上以解剖列车理论为指导进行浮针治疗。两组患者均完成了随访。比较两组治疗后疼痛(VAS评分)、患髋关节Harris评分、患者满意度。结果:治疗前两组患者一般资料、疼痛VAS评分、患髋关节Harris评分差异无统计学意义(P>0.05)；治疗后两组患者疼痛VAS评分均较治疗前下降，观察组患者疼痛(VAS)评分治疗后24 h(6.5±0.5)分、7 d(3.4±0.5)分、14 d(2.1±0.3)分，较对照组术后24 h(7.9±0.6)分、7 d(5.2±0.5)分、14 d(3.6±0.5)明显下降(P<0.05)；治疗后两组患者髋关节Harris评分均较治疗前上升，观察组患者髋关节(Harris)评分治疗后24 h(55.6±1.1)分、7 d(68.5±1.8)、14 d(80.3±1.7)分，较对照组术后24 h(43.7±1.2)分、7 d(54.6±1.3)、14 d(63.0±1.4)分明显上升(P<0.05)；患者满意度观察组(92.5%)较对照组(72.5%)增加，差异有统计学意义(P<0.05)。结论:合理运用浮针治疗，疼痛感触明显减轻、功能和患者的满意度显著提高。 |
| 关键词: 解剖列车 浮针 梨状肌综合征 |
| DOI：10.3969/j.issn.1007-6948.2021.03.023 |
| 投稿时间：2020-06-25 |
| 基金项目:浙江省“十三五”重点专科 |
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| Clinical Study of Floating-Needle Therapy for Treatment of Piriformis Syndrome |
| WANG Jian-jiong,JIN Yong,LOU Hong-kan |
| Department of Orthopedics, Ningbo Hospital of Traditional Chinese Medicine of Zhejiang Province, Ningbo 315010,China |
| Abstract: |
| Objective To observe the clinical curative effects of floating-needle therapy for treatment of piriformis syndrome. Methods Retrospective analysis from July 2017 to June 2018 during the TCM hospital in Ningbo City, which was admitted to acute onset of piriformis syndromein 80 patients for the diagnosis of clinical data. According to different treatment options, they were divided into two groups. The control group (40 patients) were received conventional medical and physical treatment. The observation group(40 patients) was treated with floating-needle therapy on the basis of in the control group. The patients in two groups were underwent follow-up survey. The degree of pain, hip joint function and patient satisfaction were evaluated by using pain visual analogue scale(VAS) scores,Harris scores and questionnaire before treatment and at follow-up respectively. Results There was no statistical difference in general data, hip pain VAS scores and hip joint function Harris scores between the two groups before the treatment.The hip pain VAS scores were lower at last follow-up compared to that in the pre treatment of the two groups, which were lower in the observation group compared to that of the control group (24h after treatment: 6.5±0.5 vs 7.9±0.6 points; 7d after treatment: 3.4±0.5 vs 5.2±0.5 points; 14d after treatment: 2.1±0.3 vs 3.6±0.5 points, P<0.05). The hip joint function Harris scores were higher at last follow-up compared to that in the pretreatment of the two groups, which were higher in the observation group compared to that in the control group (24h after treatment: 55.6±1.1 vs 43.7±1.2 points; 7d after treatment: 68.5±1.8 vs 54.6±1.3 points; 14d after treatment: 80.3±1.7 vs 63.0±1.4 points, P<0.05). Compared with the control group, the patient satisfaction in the observation group was significantly increased (92.5% vs 72.5%，P<0.05). Conclusion With the reasonable use of the floating-needle therapy under the guidance of anatomy train theory, hip pain significantly reduced, meanwhile the hip joint function and patient satisfactionincreased obviously. |
| Key words: Anatomy train theory ?oating-needle therapy piriformis syndrome |
